Perceived Inequity: Does It Explain Burnout Among Medical Specialists?1

This study investigated, among medical specialists (N= 2,400), the association between perceived inequity in relationships at work (patients, colleagues, organization) and burnout, and the moderating role of communal orientation. Intrapersonal inequity, involving an internal standard of reference, and interpersonal inequity, taking colleagues as the standard of reference, were assessed. The adjusted response rate was 63%. Intrapersonal inequity affected all burnout dimensions: emotional exhaustion in all relationships at work, depersonalization in the relationship with patients, and reduced personal accomplishment in relationships with colleagues and the organization. Intrapersonal inequity explained more variance in burnout than did interpersonal inequity. Communal orientation did not moderate these associations. Hence, medical specialists are more vulnerable to burnout if they perceive their relationships at work to be inequitable, regardless of their tendency to help others. Organizations might, therefore, prevent burnout by creating a working environment that is supportive and appreciative.     

Design and Evaluation of a Decision Aid for Inviting Parents to Participate in a Fragile X Newborn Screening Pilot Study

The major objectives of this project were to develop and evaluate a brochure to help parents make an informed decision about participation in a fragile X newborn screening study. We used an iterative development process that drew on principles of Informed Decision Making (IDM), stakeholder input, design expertise, and expert evaluation. A simulation study with 118 women examined response to the brochure. An independent review rated the brochure high on informational content, guidance, and values. Mothers took an average of 6.5 min to read it and scored an average of 91.1 % correct on a knowledge test. Most women rated the brochure as high quality and trustworthy. When asked to make a hypothetical decision about study participation, 61.9 % would agree to screening. Structural equation modeling showed that agreement to screening and decisional confidence were associated with perceived quality and trust in the brochure. Minority and white mothers did not differ in perceptions of quality or trust. We demonstrate the application of IDM in developing a study brochure. The brochure was highly rated by experts and consumers, met high standards for IDM, and achieved stated goals in a simulation study. The IDM provides a model for consent in research disclosing complicated genetic information of uncertain value.     

Yoga in an Urban School for Children with Emotional and Behavioral Disorders: A Feasibility Study

Increasingly, school-aged children present with challenging emotional and behavioral problems and may be resistant to traditional special education approaches (Smith et al., Behav Disorders 36(3):185–194, 2011). These programs do not take into consideration the specific needs of students with emotional and behavioral disorder (EBD). We examined the feasibility and potential for positive effects of yoga sessions within a school setting for children with EBD at an urban elementary school. Thirty-seven children with EBD in an urban school completed a yoga intervention in small groups (7–10 students) twice per week for 3 ½ months. Teachers, parents, and students completed a systematic pre- and post-intervention assessment, and yoga instructors completed attendance and behavior checklists. Average attendance for the yoga sessions was 90 %. Eighty percent of responders described being very satisfied with the intervention. Teachers reported improved attention in class (p = 0.01) and adaptive skills (p = 0.03) and reduced depressive symptoms (p = 0.03), behavioral symptoms (p = 0.01), and internalizing symptoms (p = 0.04). No significant changes were found in the parent data and no discernable trend was found in student reports. These data suggest that yoga administered in small groups in an urban school setting is a feasible school intervention for children with emotional and behavioral disorders and may be effective in reducing symptoms.     

Religion and Helping Charitable Causes

Two studies assessed the relationship between religiousness and various measures of self-reported helping behavior, as well as actual volunteering for charitable causes. Results indicated that, although religious students in this study (as measured by a Christian Orthodoxy scale) indicated that they were more likely to volunteer to help in religion-related contexts, they did not report being, nor were they actually, more likely than less religious individuals to volunteer to help (nonreligious) charitable groups. Consistent with past research, however, those with an intrinsic religious orientation did volunteer to help charitable groups more than did those with an extrinsic religious orientation.     

Commentary: Using Potential Outcomes to Understand Causal Mediation Analysis

In this commentary, we demonstrate how the potential outcomes framework can help understand the key identification assumptions underlying causal mediation analysis. We show that this framework can lead to the development of alternative research design and statistical analysis strategies applicable to the longitudinal data settings considered by Maxwell, Cole, and Mitchell (2011).